9adb283aee760cb4b592a2ac3c887ddf sensors_a2021v21n11p3746.pdf 3fdc2d6b9ac62067eede6daa76951a578d2bbfb6 sensors_a2021v21n11p3746.pdf ae86016b77ba558f39dbce528d8a0992d11f12ddf884853b86793b6979da556b sensors_a2021v21n11p3746.pdf Title: Analysis of Gender Differences in HRV of Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Using Mobile-Health Technology Subject: In a previous study using mobile-health technology (mHealth), we reported a robust association between chronic fatigue symptoms and heart rate variability (HRV) in female patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). This study explores HRV analysis as an objective, non-invasive and easy-to-apply marker of ME/CFS using mHealth technology, and evaluates differential gender effects on HRV and ME/CFS core symptoms. In our methodology, participants included 77 ME/CFS patients (32 men and 45 women) and 44 age-matched healthy controls (19 men and 25 women), all self-reporting subjective scores for fatigue, sleep quality, anxiety, and depression, and neurovegetative symptoms of autonomic dysfunction. The inter-beat cardiac intervals are continuously monitored/recorded over three 5-min periods, and HRV is analyzed using a custom-made application (iOS) on a mobile device connected via Bluetooth to a wearable cardiac chest band. Male ME/CFS patients show increased scores compared with control men in all symptoms and scores of fatigue, and autonomic dysfunction, as with women in the first study. No differences in any HRV parameter appear between male ME/CFS patients and controls, in contrast to our findings in women. However, we have found negative correlations of ME/CFS symptomatology with cardiac variability (SDNN, RMSSD, pNN50, LF) in men. We have also found a significant relationship between fatigue symptomatology and HRV parameters in ME/CFS patients, but not in healthy control men. Gender effects appear in HF, LF/HF, and HFnu HRV parameters. A MANOVA analysis shows differential gender effects depending on the experimental condition in autonomic dysfunction symptoms and HF and HFnu HRV parameters. A decreased HRV pattern in ME/CFS women compared to ME/CFS men may reflect a sex-related cardiac autonomic dysfunction in ME/CFS illness that could be used as a predictive marker of disease progression. In conclusion, we show that HRV analysis using mHealth technology is an objective, non-invasive tool that can be useful for clinical prediction of fatigue severity, especially in women with ME/CFS. Keywords: mHealth; heart rate variability; HRV; ME/CFS; myalgic encephalomyelitis; chronic fatigue syndrome; gender differences Author: Lluis Capdevila, Jesús Castro-Marrero, José Alegre, Juan Ramos-Castro and Rosa M Escorihuela Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri May 28 11:42:14 2021 CEST ModDate: Fri May 28 11:42:14 2021 CEST Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 19 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1484981 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- UWSJPK+URWPalladioL-Ital Type 1 Custom yes yes no 166 0 RXJGZR+URWPalladioL-Bold Type 1 Custom yes yes no 167 0 MQFYIK+VnURWPalladioL-Bold Type 1 Custom yes yes no 168 0 LARSBV+URWPalladioL-Roma Type 1 Custom yes yes no 169 0 OHKNFJ+VnURWPalladioL Type 1 Custom yes yes no 172 0 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JLEMOM+ArialMT CID TrueType Identity-H yes yes yes 484 0 JLECKD+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 485 0 JLECLE+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 486 0 JLECME+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 487 0 JLECMF+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 488 0 JLECMG+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 489 0 JLELMC+Arial-BoldMT CID TrueType Identity-H yes yes yes 490 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 650 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2022-03-03 02:39:43 CET RepresentationInformation: sensors_a2021v21n11p3746.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2022-01-07 12:03:49 CET Size: 1484981 Format: PDF Version: 1.5 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 0 FreeObjects: 3 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: ぉのぴひはつふっぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸲ Item: Title: きちぴづひどちぬびぜ〴ぜ〰ちのつぜ〴ぜ〰きづぴとはつびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮ㄩ‾㸊⡜㌷㙜㌷㝜〰ぐちひぴどっどばちのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㈩‾㸊⡜㌷㙜㌷㝜〰ぇづのづひちぬぜ〴ぜ〰ぐひはっづつふひづぜ〴ぜ〰てはひぜ〴ぜ〰いちぴちぜ〴ぜ〰ぃはぬぬづっぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸱ Children: Item: Title: ぐちひぴどっどばちのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㈩‾㸊⡜㌷㙜㌷㝜〰ぇづのづひちぬぜ〴ぜ〰ぐひはっづつふひづぜ〴ぜ〰てはひぜ〴ぜ〰いちぴちぜ〴ぜ〰ぃはぬぬづっぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸱ Item: Title: ぇづのづひちぬぜ〴ぜ〰ぐひはっづつふひづぜ〴ぜ〰てはひぜ〴ぜ〰いちぴちぜ〴ぜ〰ぃはぬぬづっぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸱ Item: Title: きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸱ Children: Item: Title: ぎづふひはぶづでづぴちぴどぶづぜ〴ぜ〰ぃはねばぬちどのぴびぜ〴ぜ〰けふづびぴどはののちどひづぜ〴ぜ〰ぜ〵ぜ〰ぎぃけぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸲ Item: Title: うちぴどでふづぜ〴ぜ〰ぉねばちっぴぜ〴ぜ〰こっちぬづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸳ Item: Title: ぃはねばはびどぴづぜ〴ぜ〰ぁふぴはのはねどっぜ〴ぜ〰こべねばぴはねぜ〴ぜ〰こっちぬづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸴ Item: Title: ぐどぴぴびぢふひでとぜ〴ぜ〰こぬづづばぜ〴ぜ〰けふちぬどぴべぜ〴ぜ〰ぉのつづへぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸵ Item: Title: えはびばどぴちぬぜ〴ぜ〰ぁのへどづぴべぜ〴ぜ〰ちのつぜ〴ぜ〰いづばひづびびどはのぜ〴ぜ〰こっちぬづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸳⸶ Item: Title: えづちひぴぜ〴ぜ〰げちぴづぜ〴ぜ〰ざちひどちぢどぬどぴべぜ〴ぜ〰げづっはひつどのでぜ〴ぜ〰ちのつぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㐩‾㸊⡜㌷㙜㌷㝜〰いちぴちぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸳ Item: Title: いちぴちぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸳ Item: Title: げづびふぬぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮ㄩ‾㸊⡜㌷㙜㌷㝜〰いづねはでひちばとどっぜ〴ぜ〰ちのつぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぃとちひちっぴづひどびぴどっびぜ〴ぜ〰はてぜ〴ぜ〰ぐちひぴどっどばちのぴびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰こづぬて〭げづばはひぴづつぜ〴ぜ〰きづちびふひづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰えづちひぴぜ〴ぜ〰げちぴづぜ〴ぜ〰ざちひどちぢどぬどぴべぜ〴ぜ〰ぉのつどっづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㐩‾㸊⡜㌷㙜㌷㝜〰ぃはひひづぬちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰げづでひづびびどはのぜ〴ぜ〰ぁのちぬべびづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㔩‾㸊⡜㌷㙜㌷㝜〰いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Children: Item: Title: いづねはでひちばとどっぜ〴ぜ〰ちのつぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぃとちひちっぴづひどびぴどっびぜ〴ぜ〰はてぜ〴ぜ〰ぐちひぴどっどばちのぴびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰こづぬて〭げづばはひぴづつぜ〴ぜ〰きづちびふひづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰えづちひぴぜ〴ぜ〰げちぴづぜ〴ぜ〰ざちひどちぢどぬどぴべぜ〴ぜ〰ぉのつどっづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㐩‾㸊⡜㌷㙜㌷㝜〰ぃはひひづぬちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰げづでひづびびどはのぜ〴ぜ〰ぁのちぬべびづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㔩‾㸊⡜㌷㙜㌷㝜〰いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: こづぬて〭げづばはひぴづつぜ〴ぜ〰きづちびふひづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰えづちひぴぜ〴ぜ〰げちぴづぜ〴ぜ〰ざちひどちぢどぬどぴべぜ〴ぜ〰ぉのつどっづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㐩‾㸊⡜㌷㙜㌷㝜〰ぃはひひづぬちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰げづでひづびびどはのぜ〴ぜ〰ぁのちぬべびづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㔩‾㸊⡜㌷㙜㌷㝜〰いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: えづちひぴぜ〴ぜ〰げちぴづぜ〴ぜ〰ざちひどちぢどぬどぴべぜ〴ぜ〰ぉのつどっづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㐩‾㸊⡜㌷㙜㌷㝜〰ぃはひひづぬちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰げづでひづびびどはのぜ〴ぜ〰ぁのちぬべびづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㔩‾㸊⡜㌷㙜㌷㝜〰いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: ぃはひひづぬちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰げづでひづびびどはのぜ〴ぜ〰ぁのちぬべびづびぜ〴ぜ〰ぜ〵ぜ〰きづのぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㔩‾㸊⡜㌷㙜㌷㝜〰いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: いどててづひづのぴどちぬぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰ぃぬどのどっちぬぜ〴ぜ〰ぐちひちねづぴづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㘩‾㸊⡜㌷㙜㌷㝜〰ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: ぇづのつづひぜ〴ぜ〰ぅててづっぴびぜ〴ぜ〰ちのつぜ〴ぜ〰ぉのぴづひちっぴどはのびぜ〴ぜ〰はのぜ〴ぜ〰えげざぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: いどびっふびびどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮ㄩ‾㸊⡜㌷㙜㌷㝜〰ぁのちぬべびどびぜ〴ぜ〰てはひぜ〴ぜ〰きづのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぁのちぬべびどびぜ〴ぜ〰はてぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰いどててづひづのっづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ねえづちぬぴとぜ〴ぜ〰ごづっとのはぬはでべぜ〴ぜ〰てはひぜ〴ぜ〰えげざぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Children: Item: Title: ぁのちぬべびどびぜ〴ぜ〰てはひぜ〴ぜ〰きづのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぁのちぬべびどびぜ〴ぜ〰はてぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰いどててづひづのっづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ねえづちぬぴとぜ〴ぜ〰ごづっとのはぬはでべぜ〴ぜ〰てはひぜ〴ぜ〰えげざぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぁのちぬべびどびぜ〴ぜ〰はてぜ〴ぜ〰ぇづのつづひぜ〴ぜ〰いどててづひづのっづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ねえづちぬぴとぜ〴ぜ〰ごづっとのはぬはでべぜ〴ぜ〰てはひぜ〴ぜ〰えげざぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ねえづちぬぴとぜ〴ぜ〰ごづっとのはぬはでべぜ〴ぜ〰てはひぜ〴ぜ〰えげざぜ〴ぜ〰ぁのちぬべびどびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぃはのっぬふびどはのびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: げづてづひづのっづび Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: UWSJPK+URWPalladioL-Ital FontSubset: true FirstChar: 40 LastChar: 241 FontDescriptor: FontName: UWSJPK+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: 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